| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 1995;60:1267-1273
© 1995 The Society of Thoracic Surgeons
Divisions of Cardiology and Cardiothoracic Surgery, Departments of Pediatrics and Surgery, The Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
Accepted for publication June 7, 1995.
Background. After surgical removal of a volume load, regression of myocardial mass proceeds slowly relative to diminution in ventricular cavity size, resulting in increased wall thickness and decreased cavity dimensions, which may affect the filling properties and performance of the heart. We investigated the acute changes in ventricular geometry that occur after the Fontan operation and hemi-Fontan operation for tricuspid atresia, and compared them with closure of a ventricular septal defect in a two-ventricle heart.
Methods. We reviewed the results of echocardiography performed before and 8 ± 7 days after (1) Fontan operation for tricuspid atresia (n = 9), (2) hemi-Fontan operation for tricuspid atresia (n = 10), and (3) closure of a ventricular septal defect (n = 13). Measurements were made from images of the left ventricle at end-diastole: (1) apical, septal, and posterior wall thickness; and (2) long- and short-axis cavity diameters, cross-sectional areas, and ventricular volume. Posterior wall thickness to cavity dimension ratio was calculated.
Results. Wall thickness increased in all groups, with the greatest degree of increase after the Fontan operation. Cavity measures decreased most dramatically after the Fontan operation, with less dramatic and equivalent changes noted after the hemi-Fontan operation and ventricular septal defect closure. Posterior wall thickness to cavity diameter ratios were equivalent in all before operation, increased after operation, and were greatest after the Fontan operation.
Conclusions. Changes in ventricular geometry identified as an increase in wall thickness and a decrease in cavity dimension are most dramatic after the Fontan operation. Changes seen after the hemi-Fontan operation are of a milder degree, which may in part explain the excellent clinical course after this operation.
Related Article
Ann. Thorac. Surg. 1995 60: 1274.
This article has been cited by other articles:
|
|
 |
|
  S. Ovroutski, P. Ewert, V. Alexi-Meskishvili, B. Stiller, J.-H. Nurnberg, H. Abdul-Khaliq, R. Hetzer, and P. E. Lange Comparison of somatic development and status of conduit after extracardiac Fontan operation in young and older children Eur. J. Cardiothorac. Surg., December 1, 2004; 26(6): 1073 - 1079. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. M. Simsic, S. M. Bradley, and D. M. Mulvihill Sodium nitroprusside infusion after bidirectional superior cavopulmonary connection: preserved cerebral blood flow velocity and systemic oxygenation J. Thorac. Cardiovasc. Surg., July 1, 2003; 126(1): 186 - 190. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. G. Cerillo, B. Murzi, S. Giusti, A. Crucean, S. Redaelli, and V. Vanini Pulmonary artery banding and ventricular septal defect enlargement in patients with univentricular atrioventricular connection and the aorta originating from an incomplete ventricle Eur. J. Cardiothorac. Surg., August 1, 2002; 22(2): 192 - 199. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. I. Cohen, N. D. Bridges, J. W. Gaynor, T. M. Hoffman, G. Wernovsky, V. L. Vetter, T. L. Spray, and L. A. Rhodes Modifications to the cavopulmonary anastomosis do not eliminate early sinus node dysfunction J. Thorac. Cardiovasc. Surg., November 1, 2000; 120(5): 891 - 901. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. Daenen, B. Eyskens, B. Meyns, and M. Gewillig Neonatal pulmonary artery banding does not compromise the short-term function of a Damus-Kaye-Stansel connection Eur. J. Cardiothorac. Surg., June 1, 2000; 17(6): 655 - 657. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. N.K. Odim, H. Laks, D. C. Drinkwater Jr, B. L. George, J. Yun, M. Salem, and V. Allada Staged surgical approach to neonates with aortic obstruction and single-ventricle physiology Ann. Thorac. Surg., September 1, 1999; 68(3): 962 - 967. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. T. Donofrio, M. L. Jacobs, T. L. Spray, and J. Rychik Acute Changes in Preload, Afterload, and Systolic Function After Superior Cavopulmonary Connection Ann. Thorac. Surg., February 1, 1998; 65(2): 503 - 508. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. S. Shekerdemian, A. Bush, D. F. Shore, C. Lincoln, and A. N. Redington Cardiopulmonary Interactions After Fontan Operations : Augmentation of Cardiac Output Using Negative Pressure Ventilation Circulation, December 2, 1997; 96(11): 3934 - 3942. [Abstract] [Full Text]
|
|
|
|
|
|
R. S. Mosca, H. A. Hennein, T. J. Kulik, D. C. Crowley, E. C. Michelfelder, A. Ludomirsky, and E. L. Bove Modified Norwood Operation for Single Left Ventricle and Ventriculoarterial Discordance: An Improved Surgical Technique Ann. Thorac. Surg., October 1, 1997; 64(4): 1126 - 1132. [Abstract] [Full Text]
|
|
|
|
|
|
M. L. Jacobs, J. Rychik, J. J. Rome, S. Apostolopoulou, C. Pizarro, J. D. Murphy, and W. I. Norwood Jr Early Reduction of the Volume Work of the Single Ventricle: The Hemi-Fontan Operation Ann. Thorac. Surg., August 1, 1996; 62(2): 456 - 461. [Abstract] [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
